Brahmbhatt, Dhara

Brahmbhatt, Dhara is an individual health care provider with primary practice located at 7360 N Lincoln Ave Ste 110 , Lincolnwood IL 60712-1705. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Brahmbhatt, Dhara can be contacted via phone (855) 855-2712.

Contact Information

Primary practice address
7360 N Lincoln Ave Ste 110 Lincolnwood IL 60712-1705
Phone: (855) 855-2712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1730701236
LBN Legal business name Brahmbhatt, Dhara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2020
Last updated May 7th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730701236 NPPES
Illinois Other J20017485704 DRIVER'S LICENSE

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